Advanced Respiratory Practitioner | University Hospitals NHS Foundation Trust

We are looking for an enthusiastic and dynamic Advanced Respiratory Practitioner to work within the Liverpool Community Respiratory Team/Acute Respiratory Infections Virtual ward. Liverpool Community Respiratory Team host The Acute Respiratory Infections Virtual Ward. We provide hospital admission avoidance and early supported discharge for patients with exacerbation COPD, bronchiectasis, community acquired pneumonia and viral lower respiratory tract infections, along with nurse led respiratory optimisation in patient’s homes and clinic settings.

Medical leadership is by a respiratory Consultant working in the service. There are also 2 Advanced Clinical Practitioners who provide clinical support. The team is also made up of a team leader, B6 and B7 specialist nurses, physiotherapists, an assistant practitioner and admin support. The service provides a 2-hour rapid assessment hospital admission avoidance and early supported discharge for patients with a range of respiratory conditions.

This is from the patient’s homes, from 2 acute hospitals and includes the continued case management during their exacerbation in the community. A high level of clinical decision-making is required for this post therefore sound theoretical and practical knowledge relating to this speciality is required. Given the community-wide nature of this role, a high degree of mobility is required. The role will include working across various locations, with shifts covering 7-days per week.

Provide care, treatment plans, advice and guidance in the treatment of others, when dealing with complex highly specialist respiratory conditions in the community and LUHFT hospital sites. Responsible for the delivery of identified specialist training. Work in partnership with the other services/stakeholder partnership agencies to enable patients/clients to be treated in the appropriate setting. Ensure that the team provides a high quality service to its patients/clients by providing caseload and clinical supervision.

Ensure that teams work proactively in order to deliver anticipatory and maintenance care, providing a responsive service to patients with both planned and unplanned care needs. Develop partnerships and joint working with service users and stakeholders to improve patient/client care. Work in partnership with other organisations to support the effective and co‑ordinated provision of health and social care services. Participate in the development of caseload management across the local health economy.

Provide leadership and mentoring to those staff developing into a caseload management role. Liverpool University Hospitals NHS Foundation Trust comprises Aintree University Hospital, Broadgreen Hospital & Royal Liverpool University Hospital. We are part of NHS University Hospitals of Liverpool Group, formed on 1 Nov 2024 from the coming together of LUHFT and Liverpool Women’s NHS Foundation Trust.

• Clinical Assessment & Diagnosis Conduct full patient assessments in community and hospital settings (history, physical exams, spirometry, blood gases), analyse diagnostic tests (pathology, imaging) and determine suitable care settings (clinic, home, virtual, emergency admission).
• Care Planning & Delivery Develop and implement personalised complex care plans (medication review, oxygen therapy, inhaler training), manage exacerbations in the community (COPD, pneumonia), and support early discharge schemes.
• Pulmonary Rehabilitation & Self‑management Support Refer to pulmonary rehabilitation programmes; provide education on disease self‑management, inhaler technique, smoking cessation and prevention strategies. Refer to allied community services such as ICT, ICRAS, Citizens Advice on Prescription for ongoing non‑medical interventions.
• Virtual Ward & Telehealth Care Participate in virtual ward models or ARI early discharge services, conducting remote patient monitoring, telephone triage and virtual clinics.
• Education, Training & MDT Collaboration Provide specialist advice to colleagues, train nursing and therapy staff, contribute to local guidelines, clinical audits and quality improvement initiatives.
• Clinical Governance &…